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1053577080
KATHRYN LYNN HOUSELOG
ST LOUIS PARK, MN
NPI
1053577080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MN 148848-5)
Enumeration Date
2008-07-30
Last Update Date
2022-03-02
Business Address
Ms. KATHRYN LYNN HOUSELOG ANP
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-3700
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Mailing Address
Ms. KATHRYN LYNN HOUSELOG ANP
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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